OUTSIDE SCHOLARSHIP QUESTIONNAIRE

Please list below any scholarships, grants, or prizes of $100 or more which you have been awarded by your school, church, community or any other local organization. This information is necessary for our files and must be submitted prior to your arrival on campus. If you have not received any additional awards, please check the box at the bottom and submit your form.

Contact Information:

Your Name:

Your HWS Student ID:

Today's Date:

Award Information:

Name of Award 1:

Amount of Award 1:

Number of years you will receive Award 1:

Name of Award 2:

Amount of Award 2:

Number of years you will receive Award 2:

Name of Award 3:

Amount of Award 3:

Number of years you will receive Award 3:

Name of Award 4:

Amount of Award 4:

Number of years you will receive Award 4:

Name of Award 5:

Amount of Award 5:

Number of years you will receive Award 5:

Additional Awards or Comments:

I have not received any scholarships, grants, or prizes of $100 or more from my school, church, community or any other local organization.